CHULACHAK JON SUKACHEVIN M.D.
NPI 1386644417
Family Medicine in Vancouver, WA

Q: What is Chulachak Sukachevin's NPI number?

The NPI number for Chulachak Sukachevin is 1386644417. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Q: What is Chulachak Sukachevin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment

7101 NE 137TH AVE, VANCOUVER, WA 98682(800) 813-2000 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2025, Feb 4, 2022 (2 updates tracked since 2022).

On this page

About Chulachak Jon Sukachevin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHULACHAK JON SUKACHEVIN M.D. (NPI 1386644417) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (MD 60173771) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Camas, and is a graduate of Loma Linda University School Of Medicine (1996).

NPPES Registry Identity

NPI1386644417

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCHULACHAK JON SUKACHEVINCredential: M.D.

Location Address7101 NE 137TH AVEVancouver, WA 98682-4933

Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000 · Fax (855) 524-5255

Phone(800) 813-2000

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1996

Enumeration DateJuly 29, 2005

Last NPPES UpdateMay 21, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1386644417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WA · MD 60173771✔ Licensed in MD · D0054571✔ Licensed in OR · MD15286

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7101 NE 137TH AVE, Vancouver, WA 98682

Open in Google Maps ↗

Secondary Practice Location 1

Location 1411 NE 6th AveCamas, WA 98607-2037 · Phone (360) 834-2863 · Fax (360) 834-0160

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chulachak Jon Sukachevin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214129311

PECOS Enrollment IDI20101115000978

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chulachak Sukachevin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Manor Care Of Salmon Creek Wa, Association

6.3 mi

Skilled Nursing Facility

2811 NE 139TH ST
Vancouver, WA 98686

Reassigned Medicare billing, Washington and Oregon enrollments
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
Also billed through NPI 1093043424 (Oregon)
2,534 clinicians in this Medicare group

NPI 1609171081 (360) 574-5247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98682 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YANG YE M.D.

Family Medicine